BUMEDINST 10110.6 - Nutrition Standards and Education: Chapter 1-3 Flashcards
The current Military Dietary Reference Intakes (MDRI’s) are from?
Food and Nutrition Boards (FNB’s) Recommended Dietary Allowances
What is the instruction for Nutrition Standards and Education?
BUMEDINST 10110.6
Who will review the Military Dietary Reference Intakes (MDRI’s) with each Dietary Reference Intake (DRI) updated published and make necessary changes to this regulation?
The Surgeon General (TSG), Department of the Army (DA)
The ______ are intended for use by personnel involved in menu development, menu evaluation, nutrition education, nutrition research, and food research and development?
Military Dietary Reference Intakes (MDRI’s)
What are the quantitative estimates of nutrient intakes to be used for planning and assessing diets for the healthy military population?
Military Dietary Reference Intakes (MDRI’s)
Do the MDRI’s reflect the nutritional needs of pregnant or lactating military women individuals requiring medical nutrition therapy for conditions such as illness, injury, infection, chronic disease or trauma?
If “NO”, who must they get an assessment from?
NO, these individuals must require an assessment of nutritional needs by qualified medical professionals
When military members operate in protective clothing for prolonged periods of time do they have special nutrition requirements?
Yes, they must consult the Surgeon General (TSG) of the appropriate services.
Do all nutrients have an established Recommended Dietary Allowance (RDA) or Dietary Reference Intake (DRI)?
No
Usually no _____ is established if there is no Recommended Dietary Allowance (RDA) or Dietary Reference Intake (DRI) for a given nutrient?
Exceptions are approved by who?
MDRI
Exceptions are approved by The Surgeon General (TSG), Department of the Army (DA)
What are the two approved exceptions of this rule?
Potassium (K) and Sodium (Na)
Who should serve as models to help military members, family members and DoD employees meet recommended nutritional guidelines?
The DoD installations and hospital dining facilities
The MDRI’s will be met, when averaged, over what time period?
5 to 10 days
What will incorporate principles of the Dietary Guidelines Americans ( U.S. Departments of Agriculture and Health and Human Services) and the Food Guide Pyramid (U.S. Department of Agriculture)?
The menu design
What is the most recent released standard reference that will be used as the standard reference for nutrient composition?
U.S. Department of Agriculture Nutrient Database for Standard Reference
Energy allowances represent the average energy needs among whom?
Individual at various activity levels
What is designed to maintain desirable body weights for healthy military members under varying levels of physical activity in a temperate environment?
Energy allowances
What is designed for military personnel in a wide variety of operations, in widely varied settings, for limited time periods?
Operational and restricted rations
What provides the entire diet for military personnel during sustained operations?
Operational and restricted rations
What is designed to support the special nutritional requirements for various actual or simulated combat situations?
Nutritional Standard for Operational and Restricted rations (NSORs)
Who will use these standards in the development, procurement, and evaluation of operational and restricted rations?
Personnel involved in Operational Ration development
What do the terms MRE, T-rations, Utilized B-rations and Unitized Group Rations (UGR-A and UGR-H&S(Heat and Serve)) stand for?
Names of Operational rations
Total calories from fat should not exceed what percent of calories for these rations?
35%
The MRE may be consumed as the sole ration for up to how many days?
21 days and then you add the mix of rations including UGR-A and UGR-H&S
Why was the policy for the 21 day MRE then adding the mix of rations created?
For soldiers consuming MREs for 30 days while in the field
When MRE is the sole ration, units will provide supplements and enhancements such as?
Bread, milk and fresh fruits whenever feasible
Do they provide rations for exposure to extreme environments?
Yes
Restricted rations are normally incomplete and should only be used for?
Reconnaissance, long range patrol and scenarios that require minimum weight to be carried/short time length such as 10 days or less
Does the Nutritional Standard of Operational and Restricted rations (NSOR’s) apply to restricted rations?
No
Restricted rations include what in them?
Food packet and long range patrol rations
Does NSOR’s apply to survival rations?
No
What is included in survival rations?
General Purpose-Improved (GP-I), abandon ship and aircraft/life raft
How many calories does General Purpose-Improved ration contain?
1447 calories
Food packet survival: Abandon ship and Aircraft/Life Raft rations contain how many calories?
300 calories
Energy requirements are determined by?
MDRI’s calculation, body size,physical activity and environmental factors
What is the average male height and weight?
174 pounds and 69 inches
What is the average height and weight for females?
136 pounds and 64 inches
What are the cold environment conditions?
Increase energy requirements by 5-10% when temperature is between 32-57 degrees
What are the hot environment conditions?
Increase energy requirements by 2.5-10% when temperatures reach between 86-104 degrees
When altitude levels reaches 10,000 feet, calorie intake increase between what per day?
6,000 to 7,000 per day
T/F: High altitude conditions require a disciplined food and water intake program?
True
What is the percentage of total calories consumed should come from carbohydrate sources?
50-55%
What is the range of gram of protein per kg body weight?
0.8-1.5 gram per kg of body weight
What is the beverage of choice for preventing dehydration?
Cool water (plain or flavored)
What is the maximum percentage of total calories from fat that menu planners can plan to serve in military dining facilities?
30%
Fluid intake increase ___ quarts per ___ calories during light to moderate work.
1; 1,000
Consume ___ to ___ quarts of water per day while working in warmer climate areas and high altitude areas.
4 to 6
Individuals wearing nuclear, biological and chemical gear sweat approximately how much per hour?
1 - 2 quarts
What is not recommended for use during sodium replacement?
Salt tablets
What are carbohydrate-electrolyte beverages primarily used for?
Continuous physical activity beyond 3 hours, poor nutrition intake or energy deficient or when sweat loss is high and electrolytes are not adequately replaced
Each military dining facility will offer reduced calorie menus of how much?
1,500-1,600 calories a day
Military dining facilities serving populations with high energy needs will offer how many calories?
600-700 calories per meal
What is the unit of energy used to describe the amount of energy released by foods?
Calorie
Who is responsible for evaluating planned menus to ensure they comply with the Food Guide Pyramid and Dietary Guidelines for Americans principles?
DCSLOG
Who is responsible for establishing and implementing mechanisms to ensure that menus meet nutritional standards?
COMNAVSYSCOM
Who is responsible for DoD Nutritional Standards and Education?
United States Army Surgeon General
Up to what percent of MDRI energy needs could be needed by military personnel performing heavy work or who are involved in prolonged, vigorous physical training?
125%
Which publication contains basic nutrient information on all rations?
NATICK PAM 30-25
Which United States Army Research Institute of Environmental Medicine (USARIEM) technical note documents the basis for MDRIs?
TN-00/10
How many grams of protein should men consume per day to meet the MDRI?
63-119
Which environmental operating temperatures require no energy requirement adjustments?
68-86 degrees F
Approximately how many calories/kg of body weight can energy requirements increase to when ambient temperatures warrant high levels of cold-weather protection?
54
Approximately how many calories per meal will be provided by reduced calorie menus in military dining facilities?
500
What is the maximum percentage of total calories from saturated fat that menu planners can plan to serve in military dining facilities?
10%
By what percent can energy requirements rise due to working in operational environments in 86-104 degrees F range?
2.5-10
Approximately how many calories/kg of body weight can energy requirements increase to troops are maneuvering for prolonged periods (2 hours or more) with heavy gear on their feet?
62
How many grams of protein should women consume per day to meet the MDRI?
50-93
Dietary Guidelines for Americans along what else will be incorporated into nutrition education to provide a consistent message?
Food Guide Pyramid
Which personnel are trained and proficient in practical application of nutrition science to individual lifestyles and food choices as well as nutrition education techniques?
Registered Dietitians (RDs)
